cms_TN: 13306
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
13306 | HUNTINGDON HEALTH & REHAB CENTER | 445210 | 635 HIGH STREET | HUNTINGDON | TN | 38344 | 2011-09-14 | 425 | D | 0 | 1 | 09ZW11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, it was determined the facility failed to ensure timely pharmacy services for 3 of 20 (Residents #3, 5 and 8) sampled residents. The findings included: 1. Medical record review for Resident #3 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of a physician's orders [REDACTED]. Review of the nurses's medication notes on the back of the August 2011 MAR indicated [REDACTED]..8/26/11 2A (after midnight) Miralax not available..." During an interview in the Director of Nursing's (DON) office on 9/14/11 at 1:50 PM, the DON was asked to explain the reason for a medication to be unavailable. The DON stated, "There is no reason a nurse should ever not have a medication... Probably the nurse didn't look. There should not be a time when a medication is not available. I guess she (nurse) didn't try." 2. Medical record review for Resident #5 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the MAR indicated [REDACTED]. Review of the nurse's medication notes on the back of the August 2011 MAR indicated [REDACTED]..8/8/11 8A No Valium 10 available... 8/9/11 8P Zyrtec not available... 8/10/11 8P Zyrtec not available..." 3. Medical record review for Resident #8 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the physician's orders [REDACTED]. MAR indicated [REDACTED]. Review of the nurse's medication notes on the back of the September 2011 MAR indicated [REDACTED]..9-2-11 6A Nicotine patch 24 mg not available... 9-10-11 6A Hydrocodone 10/500 not available... 9-10-11 6P... Hydrocodone 10/500 not available..." 4. During an interview in the treatment nurse's office on 9/14/11 at 2:00 PM, the DON was asked about the medications that were unavailable. The DON reviewed the back up plan for obtaining medications and stated, "...Nurse just probably didn't carry through..." | 2015-02-01 |